Ohio Administrative Code Search
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Rule 173-39-05 | ODA provider certification: disciplinary actions.
...ary action against an ODA-certified provider (provider) for good cause, including misfeasance, malfeasance, nonfeasance, confirmed abuse or neglect, financial irresponsibility, or other conduct ODA determines is injurious, or poses a threat, to the health or safety of individuals being served. (B) Disciplinary actions by ODA's designee: (1) Disciplinary actions imposed by ODA's designee may ... |
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Rule 173-39-05 | ODA provider certification: disciplinary actions.
...plinary action against an ODA-certified provider (provider) for good cause, including misfeasance, malfeasance, nonfeasance, confirmed abuse or neglect, financial irresponsibility, or other conduct ODA determines is injurious, or poses a threat, to the health or safety of individuals being served. (B) Disciplinary actions by ODA's designee: (1) Disciplinary actions imposed by ODA's designee may include any one or m... |
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Rule 173-40-01 | PASSPORT program (state-funded component): introduction and definitions.
...rvices that a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code. |
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Rule 173-40-01 | PASSPORT program (state-funded component): introduction and definitions.
...of services a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code. |
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Rule 173-40-01 | PASSPORT program (state-funded component): introduction and definitions.
...of services a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code. "Unique identifier" means an item belonging to a specific individual or caregiver which identifies only the individual or caregiver and which the individual or caregiver offers as ... |
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Rule 173-40-04 | PASSPORT program (state-funded component): provider certification.
...y that seeks to become an ODA-certified provider for the state-funded component of the PASSPORT program shall apply to become so under rule 173-39-03 of the Administrative Code. |
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Rule 173-40-04 | PASSPORT program (state-funded component): provider requirements.
...ent of the PASSPORT program may pay a provider for providing a service covered under rule 173-40-05 of the Administrative Code only if the provider is certified to provide the service under Chapter 173-39 of the Administrative Code and section 173.39 of the Revised Code. |
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Rule 173-40-05 | PASSPORT program (state-funded component): covered services.
...t of the PASSPORT program. (B) While a provider may provide an individual enrolled in the state-funded component of the PASSPORT program with a service not authorized in the individual's service plan, ODA or its designee shall not pay a provider for any service not explicitly authorized in the individual's service plan. |
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Rule 173-40-05 | PASSPORT program (state-funded component): covered services.
...the PASSPORT program does not pay a provider for any service not explicitly authorized in the individual's person-centered services plan. |
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Rule 173-42-01 | PASSPORT program (medicaid-funded component): introduction and definitions.
...rvices that a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code. |
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Rule 173-42-01 | PASSPORT program (medicaid-funded component): introduction and definitions.
...rvices that a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code. |
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Rule 173-42-06 | PASSPORT program (medicaid-funded component): individuals' choices and responsibilities.
...ive while receiving services. (ii) The providers from which the individual chooses to receive services. (iii) The individual's personal preferences on how services are to be provided to the individual. (iv) Any additional information required by rule 5160-44-02 of the Administrative Code. (d) After the plan is developed, ODA's designee shall give electronic or paper copies of the... |
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Rule 173-42-06 | PASSPORT program (medicaid-funded component): individuals' choices and responsibilities.
...ive while receiving services. (ii) The providers from which the individual chooses to receive services. (iii) The individual's personal preferences on how services are to be provided to the individual. (iv) Any additional information required by rule 5160-44-02 of the Administrative Code. (d) After the plan is developed, ODA's designee shall give electronic or paper copies of the... |
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Rule 173-42-06 | PASSPORT program (medicaid-funded component): individuals' choices and responsibilities.
...ecting, and dismissing the individual's providers. 42 C.F.R. 431.51 allows an individual to choose the providers from whom the individual wants to receive services, so long as each provider the individual chooses is qualified and willing to provide the services the individual needs. (iii) Developing and maintaining back-up plans that meet the individual's needs. (c) After the plan is develop... |
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Rule 173-43-02 | Long-term care consultation program: process and general standards for providing consultations.
... (3) A nursing facility that has a provider agreement with the department of job and family services may only admit an individual as a resident upon receipt of evidence that the nursing facility has complied with rules 173-43-02 and 173-43-03 of the Administrative Code and that the program administrator has provided a long-term care consultation to the individual, unless rule 173-43-03 of the ... |
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Rule 173-43-02 | Long-term care consultation program: process and general standards for providing consultations.
... (3) A nursing facility that has a provider agreement with the department of medicaid may only admit an individual as a resident upon receipt of evidence that the nursing facility has complied with this rule and rule 173-43-03 of the Administrative Code and that the program administrator has provided a long-term care consultation to the individual, unless rule 173-43-03 of the Administrative Code... |
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Rule 173-43-02 | Long-term care consultation program: general standards for providing consultations.
... (6) A nursing facility that has a provider agreement with the department of medicaid may admit an individual as a resident only if the nursing facility has evidence of all of the following: (a) The nursing facility complied with this rule. (b) The nursing facility complied with rule 173-43-03 of the Administrative Code. (c) The program administrator provided a consultation to the individu... |
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Rule 173-43-03 | Long-term care consultation program: required consultations and exemptions.
...y that is not a nursing facility with a provider agreement under section 5165.07, 5165.511, or 5165.512 of the Revised Code. (6) The individual is exempt from the requirement for a face-to-face visit, as described in rule 5160-3-14 of the Administrative Code. (C) The program administrator may determine that it is not required to provide a long-term care consultation to each individual in one or ... |
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Rule 173-43-03 | Long-term care consultation program: required consultations and exemptions.
...y that is not a nursing facility with a provider agreement under section 5165.07, 5165.511, or 5165.512 of the Revised Code. (6) The individual is exempt from the requirement for a face-to-face visit, as described in rule 5160-3-14 of the Administrative Code. (C) The program administrator may determine that it is not required to provide a long-term care consultation to each individual in one or ... |
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Rule 173-43-03 | Long-term care consultation program: required consultations and exemptions.
...y that is not a nursing facility with a provider agreement under section 5165.07, 5165.511, or 5165.512 of the Revised Code. (6) The individual is exempt from the requirement for a face-to-face level-of-care determination under rule 5160-3-14 of the Administrative Code. (7) The individual is being admitted to a nursing facility directly from a hospital and the program administrator expects t... |
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Rule 173-43-05 | Long-term care consultation program: staff certification.
...of this rule. (4) No employee of a provider of long-term services and supports shall provide a long-term care consultation. (5) ODA shall only certify a person to provide a long-term care consultation if, according to Chapter 173-9 of the Administrative Code, the results of database reviews on the person or the person's criminal record do not prohibit the program administrator from hiring or... |
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Rule 173-43-05 | Long-term care consultation program:
staff certification.
... The person is not an employee of a provider of long-term services and supports. (4) The person is not disqualified for a paid direct-care position under Chapter 173-9 of the Administrative Code. (C) General standards regarding certification: (1) ODA shall notify the program administrator of the date that it certifies a person to provide long-term care consultations. (2) If, at any time, a cer... |
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Rule 173-45-05 | Long-term care consumer guide: display of comparative information following the execution of a search query.
...g a search query for long-term care providers, the guide shall present a list of all providers that meet the requirements specified in the search. (B) For each provider listed, the guide shall present all comparative measures, electronic links to definitions and descriptions of the measures, and further detailed information about the measures, to the extent the information is available to ODA. Fo... |
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Rule 173-45-06.1 | Long-term care consumer guide: information on services provided by facilities.
... care or contracts with a hospice provider to provide the hospice care. (ii) A facility may check an additional box if it offers additional end-of-life care so long as it describes the end-of-life care if offers. (f) Intensive rehabilitation services: (i) A nursing facility may check the "intensive rehabilitation services" box if it specializes in providing services by occupational th... |
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Rule 173-51-01 | Assisted living program (state-funded component): introduction and definitions.
...rvices that a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code. "Residential care facility" (RCF) has the same meaning as in section 3721.01 of the Revised Code. |